{"id":41601,"date":"2016-04-26T20:23:53","date_gmt":"2016-04-26T20:23:53","guid":{"rendered":"https:\/\/webo9.aux.com.es\/ca\/?p=41601"},"modified":"2016-04-26T20:30:15","modified_gmt":"2016-04-26T20:30:15","slug":"la-importancia-la-fisioterapia-respiratoria-la-fibrosis-quistica","status":"publish","type":"post","link":"https:\/\/webo9.aux.com.es\/ca\/la-importancia-la-fisioterapia-respiratoria-la-fibrosis-quistica\/","title":{"rendered":"La import\u00e0ncia de la fisioter\u00e0pia respirat\u00f2ria en la fibrosi qu\u00edstica"},"content":{"rendered":"[vc_row][vc_column][vc_column_text]\n

La fibrosi qu\u00edstica<\/strong><\/a> \u00e9s una malaltia cr\u00f2nica i heredit\u00e0ria de tipus degeneratiu que afecta, principalment, al sistema respiratori i digestiu. Aquesta
\nprodueix un augment de la densitat de les secrecions corporals i una disminuci\u00f3 del contingut d’aigua, sodi i potassi del cos provocant alteracions en el transport de les secrecions creant obstruccions que donen lloc a infeccions i inflamacions repetides.<\/p>\n

Coneixem una mica aquesta malaltia<\/h3>\n

La fibrosi qu\u00edstica \u00e9s una de les malalties cr\u00f2niques m\u00e9s comunes en nens i joves. \u00c9s causada per un gen defectu\u00f3s de tipus recessiu, \u00e9s a dir, el pare i la mare han de ser portadors d’aquest gen i el fill ha d’heretar els dos gens defectuosos. S’estima que aqu\u00ed la fibrosi qu\u00edstica t\u00e9 una incid\u00e8ncia de 1 nen cada 5000 naixements<\/strong>, no obstant, es calcula que 1 de cada 35 persones es portadora del gen.<\/p>\n

El diagn\u00f2stic principal<\/strong> de la fibrosi qu\u00edstica \u00e9s realitzar un cribatge neonatal o tamb\u00e9 conegut com la prova del tal\u00f3<\/strong> amb l’objectiu de tenir un diagn\u00f2stic preco\u00e7 de la malaltia. Per altre banda, per tal de confirmar el diagn\u00f2stic de fibrosi qu\u00edstica, es realitza, tamb\u00e9, un test de suor ja que la pell salada \u00e9s un s\u00edmptoma molt caracter\u00edstic de la fibrosi qu\u00edstica. Els altres s\u00edmptomes importants s\u00f3n la tos, l’augment de la mucositat en els sins paranassals i en els bronquis, la fatiga i les infeccions pulmonars repetides. Tots aquests s\u00edmptomes ens mostren la gran import\u00e0ncia que t\u00e9 la fisioter\u00e0pia respirat\u00f2ria en la fibrosi qu\u00edstica.<\/strong> Per un altre costat, l’afectaci\u00f3 intestinal d\u00f3na mol\u00e8sties abdominals a causa de l’estrenyiment o de l’augment de gasos, n\u00e0usees, fems p\u00e0l\u00b7lides amb moc, p\u00e8rdua de pes i falta de gana; per aquesta ra\u00f3 la nutrici\u00f3 tamb\u00e9 t\u00e9 un paper important.<\/p>\n

Un cop diagnosticada la fibrosi qu\u00edstica s’ha de comen\u00e7ar tan aviat com sigui possible el tractament adequat per tal d’augmentar l’esperan\u00e7a de vida i tenir una bona qualitat de vida. El tractament requereix una const\u00e0ncia molt important.<\/strong> Tot i aix\u00f2, no existeix un tractament est\u00e0ndard ja que la fibrosi qu\u00edstica es desenvolupa en un grau i manera diferents en cada persona.<\/p>\n

Els tres pilars b\u00e0sics del tractament de la fibrosi qu\u00edstica<\/h3>\n

El tractament variar\u00e0 al llarg de la malaltia, per\u00f2 sempre es basa en tres pilars b\u00e0sics: farmacologia, fisioter\u00e0pia respirat\u00f2ria i nutrici\u00f3.<\/p>\n

    \n
  1. \n

    Farmacologia:<\/em><\/strong><\/h4>\n<\/li>\n<\/ol>\n

    Es basa en la prevenci\u00f3 i el manteniment. Es solen subministrar antibi\u00f2tics per prevenir i tractar infeccions. Les dosis solen ser altes i es subministren per via oral quan \u00e9s una aguditzaci\u00f3 lleu o moderada, intravenosa si les bact\u00e8ries s\u00f3n resistents, o per via respirat\u00f2ria, especialment, aquells que estiguin colonitzats per pseudomona aeruginosa<\/em> amb l’objectiu de disminuir les aguditzacions i augmentar la funci\u00f3 pulmonar. Els altres f\u00e0rmacs que solen prendre s\u00f3n broncodilatadors i fluidificadors de moc entre altres, aquests ajuden a augmentar l’efectivitat de la fisioter\u00e0pia respirat\u00f2ria.<\/p>\n

      \n
    1. \n

      Fisioter\u00e0pia respirat\u00f2ria:<\/em><\/strong><\/h4>\n<\/li>\n<\/ol>\n

      \u00c9s la part de tractament m\u00e9s important en la fibrosi qu\u00edstica<\/strong> ja que ajuda a drenar les secrecions, augmenta els volums pulmonars i millora la toler\u00e0ncia de l’exercici. S’ha de comen\u00e7ar a realitzar fisioter\u00e0pia respirat\u00f2ria des del primer moment encara que no hi hagi s\u00edmptomes<\/strong> per tal d’aconseguir una rutina di\u00e0ria que ser\u00e0 obligat\u00f2ria en el futur. Hem de buscar la millor t\u00e8cnica per a cada pacient, s’ha de tenir en conte que \u00e9s una ter\u00e0pia individual i s’ha de fer cada dia, per tant, s’han de buscar t\u00e8cniques que es tolerin b\u00e9, siguin suaus i arribin a tot l’arbre bronquial. Actualment, les t\u00e8cniques m\u00e9s utilitzades en fisioter\u00e0pia respirat\u00f2ria s\u00f3n el drenatge autogen (DA), l’espiraci\u00f3 lenta total amb glotis oberta lateral (ELTGOL) i l’espiraci\u00f3 lenta prolongada (ELPr).<\/strong> Els avan\u00e7os i la investigaci\u00f3 han fet que els resultats de la fisioter\u00e0pia respirat\u00f2ria milloren notablement amb la incorporaci\u00f3 d\u2019ajudes t\u00e8cniques instrumentals com, per exemple, un inspir\u00f2metre incentiu per augmentar el volum inspiratori, el Flutter\u00ae, Threshold\u00ae IMT y PEP per allargar l’espiraci\u00f3 i a m\u00e9s provoca una lleugera vibraci\u00f3, i per descomptat el insuflador – exuflador assistent per a la tos Cough Assist E70\u00ae<\/a>, que \u00e9s un dels m\u00e9s efectius per mobilitzar les secrecions de moc en la fibrosi qu\u00edstica.<\/p>\n[\/vc_column_text]

      <\/div>[vc_single_image image=”41573″ alignment=”center” img_link_target=”_blank” css_animation=”appear” img_size=”470×394″ title=”Cough Assist E70″ img_link=”http:\/\/osteo9.com\/cough-assist-te-ayuda-a-eliminar-los-mocos\/”]
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      Finalment, fer una tos efectiva \u00e9s un altre objectiu de la fisioter\u00e0pia respirat\u00f2ria. Durant el tractament amb nens, es solen fer jocs de bufar per tal d’incentivar i mantenir la musculatura respirat\u00f2ria. El fisioterapeuta tamb\u00e9 s’ha d’encarregar d’evitar deformitats que es puguin produir en la columna vertebral i en el t\u00f2rax realitzant un tractament postural. A m\u00e9s a m\u00e9s, s’ha de recomanar que es facin almenys 3 cops per setmana exercici f\u00edsic com ara nataci\u00f3 o bicicleta ja que s\u00f3n esports que treballen cicles respiratoris.<\/p>\n

      3. Nutrici\u00f3: <\/em><\/strong><\/h4>\n

      La dieta ha de ser semblant a la de qualsevol persona depenen de l’edat. No obstant, a vegades, es necessiten dietes m\u00e9s riques en greixos i prote\u00efnes quan hi ha problemes en el p\u00e0ncrees. A m\u00e9s, alguns necessiten un suport vitam\u00ednic, especialment A,D,E i K a causa del desequilibri de sals que t\u00e9 el cos. Finalment, mantenir una bona hidrataci\u00f3 \u00e9s fonamental en la fibrosi qu\u00edstica.<\/p>\n

      Sens dubte l’actuaci\u00f3 interdisciplin\u00e0ria en el tractament del pacient amb fibrosi qu\u00edstica \u00e9s imprescindible. La fisioter\u00e0pia respirat\u00f2ria millora considerablement la qualitat de vida d’aquests pacients. A m\u00e9s a Fisiopulmonar<\/a><\/strong> , la unitat especialitzada de osteo9 en fisioter\u00e0pia respirat\u00f2ria , ensenyem als pacients exercicis i maniobres perqu\u00e8 puguin drenar les secrecions mucoses ells mateixos a casa perqu\u00e8 els resultats de la ter\u00e0pia siguin encara m\u00e9s \u00f2ptims.<\/p>\n[\/vc_column_text]

      <\/div>
      \n

      Si est\u00e0s interessat \/ a, contacta amb nosaltres<\/a> per reservar la teva hora.<\/p>\n<\/span><\/div>

      Contacta'ns<\/a><\/div><\/div><\/div><\/div>
      <\/div>[vc_column_text]\n
      Autores<\/h5>\n[\/vc_column_text][vc_row_inner][vc_column_inner width=”1\/3″]
      <\/div>[\/vc_column_inner][vc_column_inner width=”1\/3″]\n[\/vc_column_inner][vc_column_inner width=”1\/3″]
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      Si t’ha agradat aquest article i creus que pot ajudar a altres gents\u00a0que tinguin fibrosi quistica, et convidem a que ho comparteixis en las tevas xarxes socials favorites. Ho agra\u00efm sempre!<\/h5>\n[\/vc_column_text][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"

      [vc_row][vc_column][vc_column_text] La fibrosi qu\u00edstica \u00e9s una malaltia cr\u00f2nica i heredit\u00e0ria de tipus degeneratiu que afecta, principalment, al sistema respiratori i digestiu. Aquesta produeix un augment de la densitat de les secrecions corporals i una disminuci\u00f3 del contingut d’aigua, sodi i potassi del cos provocant alteracions en el transport de les secrecions creant obstruccions que donen […]<\/p>\n","protected":false},"author":206,"featured_media":41602,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"_joinchat":[],"footnotes":""},"categories":[87,84],"tags":[],"class_list":["post-41601","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia-18","category-fisioterapia-respiratoria-2"],"yoast_head":"\nLa import\u00e0ncia de la fisioter\u00e0pia respirat\u00f2ria en la fibrosi qu\u00edstica | Blog Osteo9<\/title>\n<meta name=\"description\" content=\"Fisioter\u00e0pia respirat\u00f2ria: tractament important en la fibrosi qu\u00edstica ja que drena secrecions, augmenta volums pulmonars i millora 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